Bazinet v. Beth Israel Lahey Health, Inc.

113 F.4th 9
Court of Appeals for the First Circuit·Decided August 13, 2024·No. 24-1148·Published·Cited by 24 cases

Opinion

United States Court of Appeals For the First Circuit

No. 24-1148

AMANDA J. BAZINET,

Plaintiff, Appellant,

v.

BETH ISRAEL LAHEY HEALTH, INC., and BETH ISRAEL DEACONESS HOSPITAL-MILTON, INC.

Defendants, Appellees.

APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Angel Kelley, U.S. District Judge]

Before

Gelpí, Montecalvo, and Aframe, Circuit Judges.

Richard Cullin Chambers, Jr., and Joseph Spinale, with whom Chambers and Spinale were on brief for appellant.

Scott Alan Roberts, with whom Samuel R. Gates, Tavish M.

Brown, and Hirsch Roberts Weinstein, LLP were on brief, for appellees.

August 13, 2024

AFRAME, Circuit Judge. Fortunately, pandemics are, to use a favored expression from this Court, "hen's-teeth rare." E.g., United States v. Blodgett, 872 F.3d 66, 72 (1st Cir. 2017) (quoting United States v. Polk, 546 F.3d 74, 76 (1st Cir. 2008)); Costa v. INS, 233 F.3d 31, 38 (1st Cir. 2000). COVID-19 demonstrated, however, the countless decisions that institutions must make when a pandemic does strike. These decisions were largely intended to preserve public safety in emergency circumstances but also had to comply with the pre-existing constitutional, statutory, and regulatory regimes that generally govern societal affairs.

It is unsurprising, given the challenges posed by COVID-19, that, in the aftermath of the pandemic, some of the decisions made led to litigation. Indeed, this Court recently resolved multiple appeals stemming from institutional actions taken during the COVID-19 pandemic. See, e.g., Skoly v. McKee, 103 F.4th 74 (1st Cir. 2024); Ablordeppey v. Walsh, 85 F.4th 27 (1st Cir. 2023); Brox v. Woods Hole, Martha's Vineyard & Nantucket S.S. Auth., 83 F.4th 87 (1st Cir. 2023); Lowe v. Mills, 68 F.4th 706 (1st Cir. 2023). This is another appeal in that line.

In 2021, Plaintiff Amanda J. Bazinet worked as an executive office manager at Beth Israel Deaconess Hospital in Milton, Massachusetts. In response to COVID-19, the Hospital adopted a mandatory vaccine policy. Bazinet asserted a religious

objection to taking the vaccine and sought an accommodation. The Hospital rejected Bazinet's accommodation request, which led to the termination of her employment. In due course, Bazinet brought a civil action asserting, among other claims, that the Hospital committed religious discrimination in violation of Title VII of the 1964 Civil Rights Act, 42 U.S.C. § 2000e et seq., and the Massachusetts anti-discrimination law, Mass. Gen. Laws ch. 151B, § 4 (2018) ("the religious discrimination claims").1 On its own motion, the district court dismissed the religious discrimination claims for failing to state a claim. See Fed. R. Civ. P. 12(b)(6). The court ruled that Bazinet's complaint failed to allege that she maintained a sincerely held religious belief that prevented her from taking the COVID-19 vaccine. Alternatively, the court held that, as a matter of law, the Hospital would suffer an undue hardship by granting Bazinet's request for an accommodation from the vaccine requirement.

Bazinet appeals the dismissal of her religious discrimination claims. We vacate the district court's order. The complaint sufficiently alleged that taking the vaccine would violate Bazinet's religious beliefs. Moreover, determining

1 The Massachusetts statute prohibiting employment discrimination based on religion "has been interpreted largely to mirror Title VII." Cloutier v. Costco Wholesale Corp., 390 F.3d 126, 131 (1st Cir. 2004). Neither party has identified a material distinction between the federal and state laws so for purposes of this appeal, we will consider the claims jointly.

whether an undue hardship would result from the Hospital excusing Bazinet from the vaccine requirement cannot be accomplished at this preliminary stage of the litigation.

I.

Because this appeal arises from the dismissal of the complaint for failure to state a claim, we draw the material facts from Bazinet's complaint and the documents expressly referenced therein. See Banco Santander de P.R. v. López-Stubbe (In re Colonial Mortg. Bankers Corp.), 324 F.3d 12, 15 (1st Cir. 2003). In describing the facts, we "indulge all reasonable inferences that fit [Bazinet's] stated theory of liability." Id.

As already mentioned, the Hospital employed Bazinet as an executive office manager when the COVID-19 pandemic began. Bazinet continued to work for the Hospital at the "zenith" of the pandemic, relying on the Hospital's assurances that wearing masks would provide adequate protection.

In August 2021, the Hospital announced its "Mandatory Vaccine Policy." The Policy required all Hospital employees to have received the vaccine or at least begun the two -dose vaccine protocol by the end of October 2021. An employee who failed to comply with the Policy would be placed on fourteen-day administrative leave until the employee came into compliance. The Hospital would deem any employee to have "voluntarily terminated" his or her employment if the employee failed to comply with the

Policy within the fourteen-day period. Bazinet alleged that voluntary termination was a "self-serving label" selected by the Hospital and, in fact, the Hospital terminated the employment relationship with non-compliant employees.

The Mandatory Vaccine Policy provided for certain exemptions, including for medical and religious reasons. The Policy provided that an employee who sought a religious exemption would not be placed on leave or have their employment terminated while the exemption request remained pending.

Bazinet timely submitted the Hospital's "Request for Religious Accommodation - Mandatory Vaccine Policy" in which she sought exemption from the COVID-19 vaccine requirement. Bazinet indicated on the form that she (1) maintained sincerely held religious beliefs, practices, or observances that prevented her from receiving the vaccine; (2) understood that, if the Hospital approved her exemption request, she would follow the Hospital's masking and other infection control requirements; and (3) also understood that, if the Hospital did not grant her exemption request, it would engage her in an interactive process seeking to identify a reasonable accommodation that would not cause an undue hardship.

Bazinet attached to her accommodation request form a letter describing her religious objection to taking the COVID-19 vaccine. She began the letter by indicating that she is a

"Christian who believes in Jesus Christ and His holy word, the Bible." She then alleged that the makers of the "COVID-19 vaccines currently available developed and confirmed their vaccines using fetal cell lines, which originated from aborted fetuses." Based on that allegation, Bazinet concluded that "[p]artaking in a vaccine made from aborted fetuses [would make her] complicit in an action that not only offends, but . . . is an aberration to [her] Christian faith." In support of her conclusion, Bazinet identified a series of "quotes from the Lord" which prevented her from taking the vaccine based on her belief that the vaccine was developed using aborted fetuses.

Despite the statement on the accommodation form that the Hospital would engage in an interactive process to attempt to identify a reasonable accommodation, the Hospital denied Bazinet's request for an accommodation without engaging in any further process. The Hospital told Bazinet that her proposal to wear masks and take periodic COVID-19 tests was inadequate and that allowing Bazinet to work without the vaccine would cause the Hospital to suffer an undue hardship. After the Hospital denied Bazinet's accommodation request, it terminated her employment.

Bazinet's complaint asserted a series of claims against the Hospital in addition to the religious discrimination claims. The Hospital moved to dismiss all claims, except for the religious discrimination claims. In due course, the district court issued

a written order granting the Hospital's motion to dismiss. Bazinet does not challenge those rulings here.

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Bazinet v. Beth Israel Lahey Health, Inc., 113 F.4th 9 (1st Cir. 2024).

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